Clinical Immunology & Allergy Residency Program

Rotation-Specific Goals and Objectives for Community Clinical Immunology and Allergy Block

During the Community rotation, the resident will achieve the following in their role as:

MEDICAL EXPERT

  1. Become proficient in gathering appropriate and timely information on patients (history, physical exam, investigations) and independently formulating a management plan 
  2. Gain experience with administering and supervising food and drug oral challenges
  3. Gain experience in preparing and performing patch testing
  4. Become proficient in immunotherapy (SLIT and SCIT), including patient selection, dosing adjustment, mixing venom immunotherapy, and recognizing contraindications.
  5. Gain experience with biologic therapies including mixing and administration (e.g. Xolair, Nucala)
  6. Obtain knowledge regarding establishing and managing a practice including sources and cost of extracts, spirometry, patch testing, other clinic supplies and human resource management 

COMMUNICATOR

  1. Establish a therapeutic relationship patients and/or their caregivers
  2. Provide clear and thorough explanations of diagnosis, investigations and management to  patients and families
  3. Give appropriate advice considering patient characteristics such as age, gender, religion, sexual orientation, age, culture and ethnicity
  4. Develop a common understanding on issues, problems and plans with patients, families and other professionals to develop a shared plan of care
  5. Prepare written documentation (including patient notes, and patient letters) that is accurate, organized and timely
  6. Demonstrate the ability to verbally present cases in an accurate, concise, and organized fashion

COLLABORATOR

  1. Demonstrate adjustment to new team and work well with assistants, nurses and other clinic staff
  2. Seek referrals appropriately from other consultants

LEADER

  1. Function with appropriate level of autonomy for their training level with assigned patients
  2. Practice effective time management
  3. Guide allied health staff effectively and appropriately with shared patients
  4. Acquire knowledge on operating a clinic in a cost-effective manner, including developing proficiency in billing OHIP codes for allergy services rendered

HEALTH ADVOCATE

  1. Advocate for and intervene on behalf of patients, including encouraging proper environmental control, assisting with access to medications and smoking cessation resources, providing action plans for asthma and anaphylaxis
  2. Manage daily schedule so patients are seen in a timely manner

SCHOLAR

  1. Demonstrate evidence based management strategies
  2. Actively seek information from literature to address knowledge gaps

PROFESSIONAL

  1. Seek help appropriately and respectfully from consultant and other staff in clinic when needed
  2. Demonstrate respect of all team members
  3. Accept and act on feedback appropriately